Benefits

For questions regarding your benefits, please contact
the Office of Human Resources:
Phone (912) 344-2587

PLAN YEAR 2009 - Plan Information

Blue Cross / Blue Shield Member Access - demo

Benefit Plan Summary (2009)

2009 Revised Healthcare Rates

High Deductible Health Plan (HSA-PPO) Document

HMO / HMO Choice Plan Document

PPO / PPO Choice Plan Document

Indemnity Plan Document

Blue Cross / Blue Shield of Georgia Provider Directory

Regents Dental Plan Information

Other Benefits

Teachers Retirement System of Georgia (TRS)

Optional Retirement Program (ORP)

Flexible Plan Spending Account

Tax Sheltered Annuities:

* 403(b)

* 457(b)

* 529 Path to College Plan

Family Medical Leave Act (FMLA)

TAP (Tuition Assistance Program)

Worker's Compensation

Sick Leave Pool

Click here for the 2009 Holiday List

To download and print medical claim forms, please
visit the University System of Georgia Benefits page.

For questions regarding your health membership details, please
call Blue Cross / Blue Shield of Georgia's customer service line at
1-800-424-8950. For questions regarding your dental plan,
please call MetLife's customer service line at 1-866-832-5759

Forms

Tuition Assistance Program (TAP) Application

FMLA Leave Request

FMLA Medical Certification - Employee's Serious Health Condition

FMLA Medical Certification - Family Member's Serious Health Condition

FMLA Return to Work Medical Evaluation

Background Investigation Questionnaire & Release Form

Change of Address Form

Ameriflex Request for Service Form

Sick Leave Pool Membership Form